Acquired Immunodeficiency Syndrome Education, Information, Risk Reduction, Training, Prevention, Treatment, Care, and Research Act of 1987

Acquired Immunodeficiency Syndrome Education, Information, Risk Reduction, Training, Prevention, Treatment, Care, and Research Act of 1987 - Title I: AIDS as a National Public Health Emergency - Directs the Secretary of Health and Human Services to determine that acquired immune deficiency syndrome (AIDS) presents a public health emergency for purposes of specified provisions of the Public Health Service Act. Adds the Administrator of the Health Resources and Services Administration to the list of individuals with whom the Secretary must consult before determining that a public health emergency exists. Authorizes appropriations to increase the amount of the standard level required to be in the Public Health Emergency Fund at the beginning of each fiscal year. Requires, during any year in which AIDS is determined to present a public health emergency, that not less than 60 percent of the amounts in the Public Health Emergency Fund be reserved for the provision of drugs approved for treatment of AIDS or related conditions.

Directs the Secretary to prepare and transmit to the Congress an annual report on the expenditure by the Department of Health and Human Services of amounts appropriated for programs, projects, and activities relating to AIDS.

Authorizes, notwithstanding other laws, additional employees for the Food and Drug Administration, the National Institutes of Health, and the Centers for Disease Control. Authorizes appropriations for FY 1988 through 1990.

Directs the Secretary to develop and implement a plan to expedite the award of grants, contracts, or cooperative agreements by any agency of the Department of Health and Human Services for projects relating to AIDS.

Directs the Secretary, through the Public Health Service, to provide technical assistance to State and local governments and public and nonprofit private entities carrying out programs relating to AIDS. Authorizes appropriations for FY 1988 through 1990.

Directs the Secretary to request that the National Academy of Sciences and other similar institutions provide recommendations to the Secretary concerning the creation of consortia for research and development on AIDS.

Directs the Secretary to implement an emergency program to disseminate information, based on guidelines issued by the Director of the Centers for Disease Control, to all health workers, public safety workers, and emergency service workers concerning methods to reduce in the work place the risk of becoming infected with the human immunodeficiency virus. Directs the Secretary of Labor to issue a standard, based on the guidelines, under the Occupational Safety and Health Act of 1970.

Title II: Comprehensive AIDS Programs - Amends the Public Health Service Act to create a new title on acquired immunodeficiency syndrome (AIDS). Directs the Secretary of Health and Human Services (Secretary), acting through the Director of the Centers for Disease Control (Director), to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a comprehensive national plan containing specified elements relating to education, information, and risk reduction activities concerning AIDS. Directs the Secretary to submit to the committees each year for the next ten years a revision of the plan.

Directs the Secretary, acting through the Director, to make grants to States for the development, implementation, or expansion of State plans for education, information, risk reduction, and other activities relating to AIDS. Requires States, in order to receive grants, to submit an application with specified contents.

Directs the Secretary to make grants to local governments and public and private nonprofit entities for development, establishment, or expansion of programs for targeted education, information, and risk reduction activities relating to AIDS. Directs the Secretary to give grant priority to activities directed toward individuals at highest risk of becoming infected with the acquired immunodeficiency virus. Prohibits grants from being made unless an application with specified contents is submitted. Directs the Secretary to give preference to community-based organizations which are located in, have a history of service in, and will serve specified areas. States that the Secretary may review the content of any educational or informational materials developed with grants only for scientific and factual validity.

Directs the Secretary to establish a program of fellowships at the Centers for Disease Control for the training of individuals to develop skills in epidemiology, surveillance, testing, counseling, education, information, laboratory analysis, and risk reduction relating to AIDS. Declares that individuals receiving fellowships shall not be counted in determining the number of full time equivalent employees of the Department of Health and Human Services for specified purposes.

Directs the Secretary to make grants to international organizations concerned with public health for: (1) programs of education, information, and risk reduction relating to AIDS; (2) projects to train individuals to develop skills and technical expertise regarding AIDS; and (3) epidemiological research relating to AIDS. Directs the Secretary to inform the Secretary of State and the Administrator of the Agency for International Development of grants made under this provision. Prohibits grants from being made unless an application is submitted. Requires that not less than 50 percent of the grants be made through the World Health Organization and, in the Western Hemisphere, through the Pan American Health Organization. Requires grants to be in furtherance of the global strategy of the World Health Organization Special Programme on Acquired Immunodeficiency Syndrome.

Authorizes appropriations for FY 1988 through 1990 for grants to States, for grants to local governments and public and private nonprofit entities, for fellowships at the Centers for Disease Control, and for grants to international organizations.

Authorizes the Secretary to make grants to public and nonprofit private entities for the development, establishment, or expansion in a service area of networks of comprehensive medical services for individuals who have AIDS or who are infected with the virus. Requires networks to provide: (1) comprehensive services, or referrals to comprehensive services, for such individuals, including specified services; and (2) continuing education for health care personnel involved in the delivery of services to individuals infected with the virus. Specifies allowed and prohibited uses of grants. Prohibits making grants unless an application with specified contents is submitted.

Requires entities applying for a grant, prior to applying, to establish a network advisory committee to assist in development of grant applications, provide support for the development, establishment, or expansion of the network, and monitor the implementation of, and the services provided through, the network.

Directs the Secretary, in making grants, to give priority to specified types of applicants.

Directs the Secretary to make at least one grant each fiscal year to an applicant in each service area in which there is a high incidence of children who are infected with the virus. States criteria for selecting such applicant.

Directs the Secretary to make grants to public and nonprofit private entities for projects to demonstrate innovative models for cost-effective delivery of health services to individuals with AIDS. Requires projects supported with such grants to provide for the delivery of health services in conjunction with the comprehensive medical services networks. Prohibits making grants unless an application with specified contents is submitted.

Authorizes appropriations for comprehensive medical service networks and for innovative models for cost-effective delivery of health services for FY 1988 through 1990.

Directs the Secretary, through the Director of the National Institute of Mental Health, to make grants to public and private nonprofit entities for the development, establishment, or expansion of programs to: (1) provide long-term counseling to individuals who have AIDS or who have tested positively for the presence of antibodies to the virus; and (2) conduct evaluations of the effectiveness of such counseling. Specifies purposes for which grants may be used. Prohibits making grants unless an application with specified contents is submitted. Directs the Secretary, in making grants, to give priority to entities based at, or having relationships with, entities providing comprehensive health services to individuals who have AIDS or who are infected with the virus. Authorizes appropriations for FY 1988 through 1990.

Directs the Secretary, through the Director of the National Institute on Drug Abuse, to make grants to public and nonprofit private agencies for the study of, and projects for the demonstration of, effective methods, with regard to intravenous drug abusers, to reduce the transmission of the virus and provide treatment to individuals who have AIDS or who are infected with the virus. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for FY 1988 through 1990.

Amends title IV (National Research Institutes) of the Public Health Service Act to create the National Program on Acquired Immunodeficiency Syndrome, consisting of: (1) a research program on AIDS, including a research program relating to the prevention of AIDS; and (2) demonstration, education, and other programs for the detection, diagnosis, prevention, and treatment of AIDS and for the provision of counseling concerning AIDS.

Requires the Director of the National Institutes of Health (NIH) to designate one of the Directors of the national research institutes as the Acquired Immunodeficiency Syndrome Coordinator. Makes the AIDS Coordinator responsible for administration of the Program.

Directs the AIDS Coordinator, in conjunction with the Directors of the national research institutes and in consultation with the National Acquired Immunodeficiency Syndrome Advisory Board (Advisory Board), to promote cooperation between specified agencies in the diagnosis, prevention, and treatment of AIDS.

Directs the AIDS Coordinator to expand clinical trials of treatments and therapies for AIDS and for infection with the virus. Authorizes the AIDS Coordinator to: (1) establish or support the large-scale production or distribution of specialized biological materials or other therapeutic substances for research relating to AIDS and set standards of safety and care for persons using such materials; (2) support, in consultation with the Advisory Board, research relating to AIDS outside the United States in certain circumstances, collaborative research involving American and foreign participants, the training of American scientists abroad and foreign scientists in the United States, and programs of education and training, including education and laboratory and clinical research training; (3) encourage and coordinate research relating to AIDS by industrial concerns in certain circumstances and provide for the exchange of information between Federal agencies and private entities involved in specified ways with therapies and vaccines for AIDS; (4) acquire, improve, repair, operate, and maintain, in consultation with the Advisory Board, laboratories and other real and personal property, make grants for the renovation of facilities, and lease certain spaces for a limited period; (5) enter into contracts and cooperative agreements to expedite and coordinate research relating to AIDS; and (6) maintain and operate the International Acquired Immunodeficiency Syndrome Research Data Bank.

Directs the Secretary, in consultation with the AIDS Coordinator, to establish in NIH a National Acquired Immunodeficiency Syndrome Advisory Board to: (1) review and evaluate the implementation of the Program; (2) advise and make recommendations to the Congress, the Secretary, the Director of NIH, the AIDS Coordinator, and the heads of other Federal agencies; and (3) maintain liaisons with other advisory bodies and key non-Federal entities involved with the control of AIDS. Requires the Advisory Board to prepare an annual report for the AIDS Coordinator describing the Advisory Board's activities and making recommendations regarding the Program.

Authorizes the Director of the Institute to enter into cooperative agreements with and make grants to public or private nonprofit entities for planning, establishing, or strengthening, and providing basic operating support for, centers for basic and clinical research into, and training in, advanced diagnostic, prevention, and treatment methods for AIDS. Specifies permitted uses for Federal payments under a cooperative agreement or grant. Limits support of a center to five years, subject to extension for periods of up to five years, if recommended by a peer review group.

Requires, in the Institute, appointment of an Associate Director for Prevention to coordinate and promote the programs in the Institute concerning the prevention of infectious diseases, including AIDS. Directs the Associate Director for Prevention to prepare, for inclusion in a biennial report required by existing law, a description of the prevention activities of the Institute.

Requires the Director of the Institute to establish a virus and serum bank in which all human immunodeficiency virus serotypes and serum are available to qualified investigators.

States that AIDS is included within the scope of the purpose of the National Institute on Allergy and Infectious Diseases.

Directs the Secretary, acting through the Director of the National Institute on Allergy and Infectious Diseases, to make awards, under existing provisions for National Research Service Awards, for the training of individuals to participate in national research efforts relating to AIDS.

Requires the Director of the Office of Management and Budget, the Director of the Office of Personnel Management, or the Administrator of General Services to respond to any priority request made by the AIDS Coordinator of the NIH within 14 calendar days.

Title III: Improvement of Provision of Community-Based Services to AIDS Patients Under the Medicaid Program - Amends title XIX (Medicaid) of the Social Security Act to require that a State plan for medical assistance include provision of hospice care for specified individuals in certain circumstances.

Directs the Secretary to provide for demonstration projects by States to improve the provision of hospice care to Medicaid beneficiaries who have AIDS. Specifies elements the projects must include, including provisions relating to: (1) increasing the payment rate; (2) treating patients diagnosed with AIDS as terminally ill; and (3) waiving a limitation on the aggregate days of inpatient care. Authorizes the Secretary to waive the requirements of title XIX of the Social Security Act as necessary, subject to limitations, to implement demonstration projects. Limits the aggregate amount of Federal expenditures for the projects in FY 1988, 1989, or 1990. Directs the Secretary to report to the Congress on the results of the projects.

Directs the Secretary to provide for demonstration projects by States to improve the provision of home health services to Medicaid beneficiaries who have AIDS. Specifies elements the projects must include. Authorizes the Secretary to waive the requirements of title XIX of the Social Security Act as necessary, subject to limitations, to implement the demonstration projects. Limits the aggregate amount of Federal expenditures for the projects in FY 1988, 1989, or 1990. Directs the Secretary to report to the Congress on the results of the projects.

Directs the Secretary, through the Public Health Service, to make grants to demonstrate the effectiveness of training home health aides and homemakers to meet the needs of patients with AIDS provided care in their homes. Specifies elements the projects may include. Authorizes appropriations for FY 1988 through 1990.